GROUND
ROUNDS:
ASTHMA
NR 508: Advanced Pharmacology
Chamberlain College of Nursing
12-02-2018CASE STUDY
PRESENTATION
Casey, a 15 year old Caucasian, high school student
comes to the clinic this morning with c
...
GROUND
ROUNDS:
ASTHMA
NR 508: Advanced Pharmacology
Chamberlain College of Nursing
12-02-2018CASE STUDY
PRESENTATION
Casey, a 15 year old Caucasian, high school student
comes to the clinic this morning with complain of
chest tightness, frequent cough which disturbs his
sleep at night, shortness of breath and wheezing.
Symptoms started gradually after playing football in
the cold whether 3 weeks ago, he has missed school
for 2 days because of his frequent cough
He has history of asthma which has been controlled by
ProAir inhaler 2 puffs every 4 hours as needed and
Flovent inhaler twice daily a non smoker. However, he
has not had asthma attack for more than a year and
stopped using his Flovent.
weight 122 lbs, Heart rate is 105/m, respiration 24/m
BP 108/78mmgh and temperature 36.9 degree CelsiusMEDICATION MANAGEMENTSHORT ACTING BETA AGONIST
Pro Air (Albuterol): short acting bronchodilator.
Usually the most commonly prescribed
medication
Inhaler HFA Dose: Children >4 years 2-4 puffs
every 4-6hours as needed. Can take 2 puffs 15 to
30 minutes prior to exercise to prevent
bronchospasms
For Asthma exacerbation:
Albuterol nebulizer 2.5 – 5mg in 2ml normal
saline every 20 x 3 doses, then every 1 to 4 hours
as needed or
Inhaler every 20 minutes x 3 doses, then 1 to 4
hours as needed
(Woo & Robinson, 2016) (Masselli & Peters, 2018)MEDICATION MANAGEMENTSHORT ACTING BETA AGONIST
Mechanism of Action:
Bronchodilator can reverses bronchospasm
Relaxes smooth muscles, increases vital capacity
and airflow
Decreases airway resistance and residual
volume
Adverse effects:
Can cause decreased diastolic blood pressure
and increased heart rate, dizziness and
headache
Causes tremors and nervousness due to
stimulation of beta2 receptors
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